Nursing Discharge Teaching for Multimorbid Inpatients

University of Lausanne (UNIL)

Status: Completed

Conditions: Chronic Disease

Treatments: Behavioral: Nursing discharge teaching

Study type: Interventional

Funder types: Other

Identifiers

NCT04253665

2020_2201

Details and patient eligibility

About

The objective of this study is to estimate the effect size of a nursing discharge teaching intervention on multimorbid inpatients activation level, health confidence, readiness for hospital discharge, experience with discharge care and rate and time to 7-days readmission.

Full description

Seniors returning home from hospital have to manage several chronic conditions in addition to their daily tasks. The teaching provided by nurses during hospitalization is essential care to prepare them to manage their health at home. Nevertheless, there is often a gap between professionals' belief that the teaching they have provided to patients has met their needs, and patients' perceptions of the relevance of the teaching content to their home situation. The time available to conduct this teaching is also short during the hospital stay and there is limited knowledge about how to adapt this teaching for patients who must manage multiple chronic conditions at the same time. Thus, there is a real need to develop and test a new teaching nursing intervention to prepare for the return home that takes into account the unique and complex needs and characteristics of patients with multiple chronic conditions. Tailoring teaching to seniors' life situation and level of activation (i.e., knowledge, skills and confidence in managing their health) would best meet the needs of these patients for managing their health at home. An intervention that takes these characteristics into account has been developed and will be tested in this study.

Enrollment: 225 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 2 chronic diseases or more
• Being discharged home
• Able to speak, read and write in French

Exclusion criteria

• Insufficient capacity to consent assessed with the University of California San Diego Brief Assessment of Capacity to Consent (UBACC).

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

225 participants in 2 patient groups

Usual care

No Intervention group

Description:

Discharge teaching is usually not delivered in a systematic or consistenly way, nor by relying on a particular intervention model.

Discharge teaching

Experimental group

Description:

Receiving tailored discharge teaching by nurses during hospital stay.

Treatment:

Behavioral: Nursing discharge teaching